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Sunday, 28 August 2011

Erythema dyschromicum perstans (EDP) has similarities to lichen planus pigmentosus although the precise relationship of the two conditions has yet to be established.

How to treat it?

There is no established therapy for this condition. Having said so, there are 5 options to be considered.

1)No therapy. The condition is persistent, but may resolve over time. In a series of 4 patients followed up for 2 years in Finland, 3 showed spontaneous resolution.

2)Vitamin A. Lichen planus pigmentosus has responded (50 – 100% clearance in some patients) to vitamin A prescribed in pulses of 100,000 units daily for 15 days (pulses were repeated up to 10 times) in a study. This recommendation is considered by those who reckon that EDP is the same entity as lichen planus pigmentosus.

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The Royal College of Physicians and Surgeons of Glasgow (RCPSG) Coat of Arms Symbolism

The RCPSG (a charity) was established by Royal Charter from King James VI of Scotland (James I of England) in 1599.

*The first and fourth quarters of the shield contain the lancet that represents the surgeons, and poppy that represents the laudanum used by the physicians and the snake-entwined staff that represents Aesculapius, Greek god of medicine.

*The second quarter of the shield contains the Royal Arms of Scotland (the lion of Scotland) and reflects the gift of the original charter from King James VI of Scotland (James I of England).

*The third quarter has the familiar arms of the City of Glasgow, reflecting the College's origins in Glasgow and the West of Scotland. There are the tree that never grew, the bird that never flew, the bell that never rang and the fish that never swam.

*The supporters are Hygeia (goddess of health) on the right, and on the left, Minerva (goddess of art and science).

*The crest is an antique lamp on an open book, which symbolises the light of learning dispelling the darkness of ignorance.

*The coat of arms has two mottoes. Above is "Conjurat Amice", translated as "We live together in amity". This reflects the unique nature of the RCPSG in encompassing physicians and surgeons, whereas those of Edinburgh and London are separate. The motto below the shield reads "Non vivere sed valere vita". It is an epigram of the Roman poet Martial and can be translated into English as "Not simply to live but to enjoy life".

Current Forms of Assessing Trainees (Dermatology, Venereology and Surgical Andrology)

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I cannot be held responsible for any consequences arising from the use of information contained in this publication.It is the ultimate responsibility of the medical practitioner to determine the best treatment for each patient.